Individual provider Active NPI

Savana Lorron Robertson

  • Occupational Therapist
  • Green Bay, WI
National Provider Identifier
1871420141
Registry record updated May 9, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Occupational TherapistTaxonomy code 225X00000X
License
9157-26 Issued in WI
Practice address
200 S Broadway
Green Bay, WI 54303-1516
Phone
(920) 448-2000
NPI assigned
May 8, 2026
Sex
Female
Sole proprietor
No

NPPES NPI Registry

Updated by the provider on May 9, 2026

Registry information is reported by the provider to CMS and is not verified. About this source

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapist 225X00000X 9157-26 WI Primary

Addresses

Primary practice location

200 S Broadway
Green Bay, WI 54303-1516

Mailing address

200 S Broadway
Green Bay, WI 54303-1516
Phone (920) 448-2000

Other names 1

  • Savana Lorron Olsen Former name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
9157-26WIMDOccupational Therapist

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1778198400000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1778284800000",
    "number": "1871420141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031516",
            "telephone_number": "920-448-2000"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "200 S BROADWAY",
            "city": "GREEN BAY",
            "state": "WI",
            "postal_code": "543031516",
            "telephone_number": "920-448-2000"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "ROBERTSON",
        "first_name": "SAVANA",
        "middle_name": "LORRON",
        "sole_proprietor": "NO",
        "sex": "F",
        "enumeration_date": "2026-05-08",
        "last_updated": "2026-05-09",
        "certification_date": "2026-05-09",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "225X00000X",
            "taxonomy_group": "",
            "desc": "Occupational Therapist",
            "state": "WI",
            "license": "9157-26",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "first_name": "SAVANA",
            "last_name": "OLSEN",
            "middle_name": "LORRON",
            "code": "1",
            "type": "Former Name"
        }
    ]
}

Other providers in Green Bay, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 9, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.